Postoperative Endodontic Pain after Treatment Using XP-endo Finisher: A Randomized Clinical Trial

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Fernandes Leonardo Alexandre; de Sousa Santos Cristiane Flaviana; Ditzel Westphalen Vania Portela; da Silva Neto Ulisses Xavier; Carneiro Everdan

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Journal Paper

Paper Information

Journal: IRANIAN ENDODONTIC JOURNAL Year:2023 | Volume:18 | Issue:3 Page(s): 145-151

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Title

Postoperative Endodontic Pain after Treatment Using XP-endo Finisher: A Randomized Clinical Trial

Author(s)

Keywords

Foramen Enlargement

Postoperative Pain

Pulp Necrosis

Sodium Hypochlorite

XP-endo Finisher Instrument

Abstract

Introduction: This randomized clinical trial aimed to determine whether the XP-endo finisher combined with or without foraminal enlargement has any significant effect on the incidence and intensity of postoperative pain in necrotic pulps. Materials and Methods: Clinical pain levels were measured after 6, 12, 24, 48, and 72 hours and at 7 postoperative days. All treatments were performed by an endodontist in a single visit. One hundred and twenty patients were included. All patients had a single tooth treated. The patients were divided into four groups: No FE (None Foraminal Enlargement) (n=30), FE (Foraminal Enlargement) (n=30), No FE+XPF (None Foraminal Enlargement+XP-endo Finisher) (n=30) and XPF+FE (XP-endo Finisher and Foraminal Enlargement) (n=30). The canals were irrigated with sodium hypochlorite, shaped using WaveOne Gold Medium file, and then filled by using a matching single cone and AH-Plus sealer. The cavity was filled using glass ionomer cement. Pain intensity was assessed using the visual analog scale. The data were analyzed with the ANOVA and Games-Howell test. The significance level was 5%. Results: The XPF+FE group experienced a higher level of pain, being classified on the visual analog scale as moderate for 48 postoperative hours and mild for 7 postoperative days (P<0. 05). In the other groups, the pain was mild, only with different time intervals (P>0. 05). Conclusions: Foraminal enlargement associated with XP-endo Finisher may cause moderate postoperative pain.

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APA: Copy

Fernandes, Leonardo Alexandre, de Sousa Santos, Cristiane Flaviana, Ditzel Westphalen, Vania Portela, da Silva Neto, Ulisses Xavier, & Carneiro, Everdan. (2023). Postoperative Endodontic Pain after Treatment Using XP-endo Finisher: A Randomized Clinical Trial. IRANIAN ENDODONTIC JOURNAL (IEJ), 18(3), 145-151. SID. https://sid.ir/paper/1134318/en

Vancouver: Copy

Fernandes Leonardo Alexandre, de Sousa Santos Cristiane Flaviana, Ditzel Westphalen Vania Portela, da Silva Neto Ulisses Xavier, Carneiro Everdan. Postoperative Endodontic Pain after Treatment Using XP-endo Finisher: A Randomized Clinical Trial. IRANIAN ENDODONTIC JOURNAL (IEJ)[Internet]. 2023;18(3):145-151. Available from: https://sid.ir/paper/1134318/en

IEEE: Copy

Leonardo Alexandre Fernandes, Cristiane Flaviana de Sousa Santos, Vania Portela Ditzel Westphalen, Ulisses Xavier da Silva Neto, and Everdan Carneiro, “Postoperative Endodontic Pain after Treatment Using XP-endo Finisher: A Randomized Clinical Trial,” IRANIAN ENDODONTIC JOURNAL (IEJ), vol. 18, no. 3, pp. 145–151, 2023, [Online]. Available: https://sid.ir/paper/1134318/en

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